初级保健提供者确定的专科护理等待时间的挑战和影响：MAAP 研究横断面调查结果。
Challenges and impacts from wait times for specialist care identified by primary care providers: Results from the MAAP study cross-sectional survey.
机构信息
Dalhousie University, Halifax, Nova Scotia, Canada.
出版信息
Healthc Manage Forum. 2023 Sep;36(5):340-346. doi: 10.1177/08404704231182671. Epub 2023 Jul 6.
Abstract
In Canada, primary care providers are the front door to other services in the health system, such as specialist care. Compared to other countries, Canadians experience long wait times for specialist referrals and appointments leading to poorer health outcomes for patients. Although there is attention paid to the impacts of these waits on patients, little is known about how long specialist care wait times impact primary care providers. As part of a larger study surveying primary care clinics in Nova Scotia, primary care providers were invited to participate in a follow-up survey on comprehensive care and specialist wait times. We thematically analyzed responses to an open text field about specialist wait times. Respondents shared experiences with challenging specialist wait times, strategies to manage patients waiting for specialist care, and recommendations for improving access to specialist care in Nova Scotia, Canada.
摘要
在加拿大，初级保健提供者是通向卫生系统中其他服务（如专科护理）的门户。与其他国家相比，加拿大人在等待专科转介和预约方面的时间较长，导致患者的健康状况较差。尽管人们关注这些等待对患者的影响，但对于专科护理等待时间对初级保健提供者的影响知之甚少。作为一项调查新斯科舍省初级保健诊所的更大研究的一部分，初级保健提供者被邀请参与一项关于全面护理和专科等待时间的后续调查。我们对一个关于专科等待时间的开放文本字段的回复进行了主题分析。受访者分享了他们在专科等待时间方面遇到的挑战、管理等待专科护理的患者的策略以及改善加拿大新斯科舍省专科护理获取途径的建议。
相似文献
1
Challenges and impacts from wait times for specialist care identified by primary care providers: Results from the MAAP study cross-sectional survey.初级保健提供者确定的专科护理等待时间的挑战和影响：MAAP 研究横断面调查结果。
Healthc Manage Forum. 2023 Sep;36(5):340-346. doi: 10.1177/08404704231182671. Epub 2023 Jul 6.
2
Access to specialist gastroenterology care in Canada: the Practice Audit in Gastroenterology (PAGE) Wait Times Program.加拿大专科胃肠病护理的获取情况：胃肠病实践审计（PAGE）等待时间项目
Can J Gastroenterol. 2008 Feb;22(2):155-60. doi: 10.1155/2008/292948.
3
Hurry up and wait. The experiences of young women in rural Nova Scotia accessing specialized care.急急忙忙地等待。新斯科舍省农村年轻女性获得专科护理的经历。
Can J Rural Med. 2011 Summer;16(3):83-8.
4
Patient perspectives on wait times and the impact on their life: A waiting room survey in a chronic pain clinic.患者对候诊时间的看法及其对生活的影响：慢性疼痛诊所的候诊室调查
Scand J Pain. 2017 Oct;17:53-57. doi: 10.1016/j.sjpain.2017.07.015. Epub 2017 Jul 27.
5
Interventions to reduce wait times for primary care appointments: a systematic review.减少初级保健预约等待时间的干预措施：一项系统综述
BMC Health Serv Res. 2017 Apr 20;17(1):295. doi: 10.1186/s12913-017-2219-y.
6
How long are Canadians waiting to access specialty care? Retrospective study from a primary care perspective.加拿大人等待获得专科护理的时间有多长？从初级保健角度进行的回顾性研究。
Can Fam Physician. 2020 Jun;66(6):434-444.
7
[Sociodemographic and health-related determinants of health care utilisation and access to primary and specialist care: Results of a nationwide population survey in Germany (2006-2016)].[社会人口统计学及与健康相关的医疗保健利用和获得初级及专科护理的决定因素：德国全国人口调查结果（2006 - 2016年）]
Z Evid Fortbild Qual Gesundhwes. 2017 Oct;126:52-65. doi: 10.1016/j.zefq.2017.07.012. Epub 2017 Sep 12.
8
Improving pathways to primary health care among LGBTQ populations and health care providers: key findings from Nova Scotia, Canada.改善 LGBTQ 人群和医疗保健提供者获得初级卫生保健的途径：来自加拿大新斯科舍省的主要发现。
Int J Equity Health. 2018 Jun 13;17(1):76. doi: 10.1186/s12939-018-0786-0.
9
Specific timely appointments for triage to reduce wait times in a medical outpatient clinic: protocol of a pre-post study with process evaluation.特定时间的分诊预约以减少医疗门诊的等待时间：一项前后研究的方案，包括过程评估。
BMC Health Serv Res. 2019 Nov 12;19(1):831. doi: 10.1186/s12913-019-4660-6.
10
Specialist wait time reporting using family physicians' electronic medical record data: a mixed method study of feasibility and clinical utility.利用家庭医生的电子病历数据报告专科医生等待时间：一项关于可行性和临床实用性的混合方法研究。
BMC Prim Care. 2022 Apr 7;23(1):72. doi: 10.1186/s12875-022-01679-x.
引用本文的文献
1
Thyro-GenAI: A Chatbot Using Retrieval-Augmented Generative Models for Personalized Thyroid Disease Management.甲状腺生成式人工智能：一种使用检索增强生成模型进行个性化甲状腺疾病管理的聊天机器人。
J Clin Med. 2025 Apr 3;14(7):2450. doi: 10.3390/jcm14072450.
2
Catch-AF-Early Diagnosis of Symptomatic Arrythmias in the Waiting Period Prior to Seeing a Cardiologist in Victoria, British Columbia.在不列颠哥伦比亚省维多利亚市，于看心脏病专家之前的等待期内对有症状心律失常进行早期诊断——捕捉房颤
CJC Open. 2024 Sep 25;6(12):1476-1483. doi: 10.1016/j.cjco.2024.09.007. eCollection 2024 Dec.
3
"…but I know something's not right here": Exploring the diagnosis and disclosure experiences of persons living with ALS.“……但我知道这里有些不对劲”：探索肌萎缩侧索硬化症患者的诊断及信息披露经历
PLoS One. 2024 Dec 2;19(12):e0301249. doi: 10.1371/journal.pone.0301249. eCollection 2024.
4
Improved access and care through the implementation of virtual Hallway, a consultation platform in Nova Scotia: preliminary findings from a feasibility evaluation.通过在新斯科舍省实施虚拟走廊（一个咨询平台）改善医疗服务的可及性和质量：可行性评估的初步结果
Implement Sci Commun. 2024 Oct 18;5(1):116. doi: 10.1186/s43058-024-00651-3.
5
Ophthalmology Practice-Related Factors and Patient Loyalty: Mediating Role of Patient Satisfaction.眼科医疗实践相关因素与患者忠诚度：患者满意度的中介作用
Patient Prefer Adherence. 2024 Aug 9;18:1675-1689. doi: 10.2147/PPA.S461314. eCollection 2024.
6
Implementation and adaptation of a hub-based psychiatric and primary care program: A qualitative descriptive analysis of The Seamless Care Optimizing the Patient Experience (SCOPE) Mental Health program.基于枢纽的精神科和初级保健项目的实施和调整：无缝护理优化患者体验（SCOPE）精神卫生项目的定性描述分析。
PLoS One. 2024 May 28;19(5):e0303750. doi: 10.1371/journal.pone.0303750. eCollection 2024.
7
The First Nations experience of accessing rheumatology services in a metropolitan hospital: A qualitative study.第一民族在大都市医院获得风湿病服务的体验：一项定性研究。
Health Expect. 2024 Apr;27(2):e14049. doi: 10.1111/hex.14049.
本文引用的文献
1
Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada.加拿大安大略省家庭医生在 COVID-19 大流行期间停止执业。
Ann Fam Med. 2022 Sep-Oct;20(5):460-463. doi: 10.1370/afm.2865.
2
The roles of family physicians during a pandemic.家庭医生在大流行期间的角色。
Healthc Manage Forum. 2023 Jan;36(1):30-35. doi: 10.1177/08404704221112311. Epub 2022 Jul 17.
3
COVID-19 - an opportunity to improve access to primary care through organizational innovations? A qualitative multiple case study in Quebec and Nova Scotia (Canada).COVID-19 - 一个通过组织创新改善初级保健服务可及性的机会？魁北克省和新斯科舍省（加拿大）的定性多案例研究。
BMC Health Serv Res. 2022 Jun 8;22(1):759. doi: 10.1186/s12913-022-08140-w.
4
Problems in Coordinating and Accessing Primary Care for Attached and Unattached Patients Exacerbated During the COVID-19 Pandemic Year (the PUPPY Study): Protocol for a Longitudinal Mixed Methods Study.新冠疫情期间附属及非附属患者在初级医疗协调与就诊方面的问题加剧（PUPPY研究）：一项纵向混合方法研究方案
JMIR Res Protoc. 2021 Oct 13;10(10):e29984. doi: 10.2196/29984.
5
Examining Dementia Family Caregivers' Forgone Care for General Practitioners and Medical Specialists during a COVID-19 Lockdown.探讨 COVID-19 封锁期间痴呆症家庭照顾者对全科医生和医学专家的未获得医疗服务情况。
Int J Environ Res Public Health. 2021 Apr 1;18(7):3688. doi: 10.3390/ijerph18073688.
6
Physician burnout in Nigeria: a multicentre, cross-sectional study.尼日利亚医生职业倦怠：一项多中心、横断面研究。
BMC Health Serv Res. 2020 Sep 14;20(1):863. doi: 10.1186/s12913-020-05710-8.
7
Reduction in skin cancer diagnoses in the UK during the COVID-19 pandemic.英国在新冠疫情期间皮肤癌诊断数量减少。
Clin Exp Dermatol. 2021 Jan;46(1):145-146. doi: 10.1111/ced.14411. Epub 2020 Oct 8.
8
Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.新冠大流行期间 2 周候诊癌症转诊通道延迟对英国癌症生存率的影响：一项建模研究。
Lancet Oncol. 2020 Aug;21(8):1035-1044. doi: 10.1016/S1470-2045(20)30392-2. Epub 2020 Jul 20.
9
How long are Canadians waiting to access specialty care? Retrospective study from a primary care perspective.加拿大人等待获得专科护理的时间有多长？从初级保健角度进行的回顾性研究。
Can Fam Physician. 2020 Jun;66(6):434-444.
10
Delayed Primary and Specialty Care: The Coronavirus Disease-2019 Pandemic Second Wave.延迟的初级和专科护理：2019年冠状病毒病大流行的第二波。
Disaster Med Public Health Prep. 2020 Jun;14(3):e19-e21. doi: 10.1017/dmp.2020.148. Epub 2020 May 7.
Zotero 插件